Members

Navigate your pharmacy benefits.

We are here to help you find the right prescription at the right price.

SEE HOW

Unlock your pharmacy Benefit.

Access your prescription history, prior authorizations, plan information, digital ID card, price medications, and view drug coverage information via the myMedOne Member Portal.

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Check your drug coverage tier and requirements.

Drug Lookup

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GET PRESCRIPTIONS DELIVERED RIGHT TO YOUR DOOR. RIGHT ON TIME.

Are you new to mail order? Enroll Now

Need a prescription refill? REQUEST REFILL

Have a question about mail order? Call us.

877-896-0919

It's my first time calling and I had an excellent experience with Rozi. She's a keeper. She got to the root of my problem and resolved the issue!
Rita, MedOne Member

FREQUENTLY ASKED QUESTIONS

STILL HAVE QUESTIONS? CHECK OUT OUR FAQS.

Mail Order FAQs

Coverage FAQs

Why should I sign-up for MedOne's mail order pharmacy?

MedOne Pharmacy Services is a convenient, inexpensive way to have your medications sent right to your door. Mail order works best for maintenance medications (something you take regularly) that don’t often change. Examples of medications suited for mail-order are those that treat high blood pressure, heart disease, cholesterol, asthma, and diabetes.
How do I sign up for MedOne's mail order pharmacy?

Enrollment with MedOne Pharmacy Services is completed through the myMedOne Member Portal. Visit my.medone-rx.com to create your account and get signed in. Once inside the portal, the Mail Order tab will walk you through the enrollment steps.

You can also ask your doctor to send your prescription to MedOne Pharmacy Services through his or her e-prescribing software or via fax to 563-588-0173. One of our Pharmacy Care Coordinators will contact you within 24 hours to complete the sign-up process.
How do I pay for my co-payment?

Credit card (including HSA or FSA) is the preferred method. Payments by electronic funds transfer (EFT) is also available. You may also pay by personal check or money order. Co-payments must be paid in full before medications will be shipped. Please call 877-896-0919 for more information.
Can I transfer an existing prescription to start receiving it via mail?

Yes, one of our pharmacists will transfer the prescription from your current pharmacy. Please call 877-896-0919 with the name and phone number of the pharmacy you are currently using and the medication name. We will do the rest!
How long does it take to receive my prescription?

Once you’ve enrolled in mail order through myMedOne, we must have a valid prescription on file in order to move forward filling your prescription. This means an existing prescription must be transferred to MedOne Pharmacy Services or your prescriber must send us a new one. Therefore, please allow for 10-14 days to receive your initial shipment once enrollment is completed.
How do I refill my prescriptions?

Refills can be requested through the myMedOne Member Portal at any time. Under the Mail Order tab, expand the medication for which you’d like to request a refill and select REQUEST PRESCRIPTION. Review the information displayed and select SUBMIT REFILL REQUEST.

Additionally, during enrollment, your account can be set up for refills to be automatically sent in advance of your medication being used in full. If you do not want your medication automatically refilled and shipped, you may elect to use our refill request line at 877-896-0919 and select option 4. With this option, your medication will only be shipped upon request. Please allow 10-14 days to receive your medication.
I am on multiple medications. Can they all be filled via mail order?

Mail order is a great option for maintenance medications. If you are on multiple medications that you take regularly, then, yes, mail order is a great option! We offer a program called MedSync that allows us to “sync up” your different medications and ship them to you all at once. This option is available to you as part of the enrollment process and you are automatically enrolled if you have opted in to auto-shipments. If you have questions, please call 877-896-0919.
How will my prescription be sent to me?

In almost all cases, your prescriptions will be delivered via UPS or USPS. Prescriptions with special storage requirements will be shipped via overnight carrier, and all deliveries will be scheduled with the recipient.
What if I am traveling or at my seasonal home?

We are happy to ship to the address of your choice. Simply call 877-896-0919 and let us know where you would like your prescription shipped.

What is a pharmacy benefit management (PBM) company and what does it mean to me?

A PBM works with your employer or benefits provider to negotiate prescription prices with the pharmacies in your community to save you money. When you enroll in health insurance with your employer, you will receive a card with your personal prescription drug benefit information including Member ID (personal identifier), Group # (employer identifier), Bin # / PCN (PBM identifier). This information may be included on your health insurance card or a separate card specific to your pharmacy benefit. When you pick-up a prescription from your pharmacy, you will be asked to provide this card to determine what you must pay (aka your co-pay or co-insurance) prior to receiving your prescription.
Can I check to see what my co-pay or co-insurance will be for a specific prescription prior to going to the pharmacy?

Yes. Register or login to the myMedOne Member Portal to check pricing. Once inside the portal, select the My Rx Lookup tool to research the cost of a medication. You may also download a copy of the Member Brochure, found under Plan Overview, to review your plan’s copay structure. Additionally, you can contact one of our Member Advocates at 866-335-9057 for assistance.
My pharmacist or doctor said my prescription claim was rejected and requires prior authorization. What do I do now?

Ask your pharmacist or doctor if a prior authorization has been started and if he/she will contact you once a determination has been made. The prior authorization process may take 1 to 3 business days once all necessary information is received by MedOne’s clinical department depending on the type of the request. Your prescription drug plan has requested this service to ensure the requested treatment is safe, effective, and appropriate. In some cases, the prescription drug plan may restrict the use of certain medications or require the use of therapeutic alternatives.

For more information about your prior authorization, please contact one of our Member Advocates at 866-335-9057.
What can I do if I can't afford any medications?

Work with your doctor and pharmacist to make sure you are using the most cost-effective treatment for your condition. Make sure you are using a preferred pharmacy and mail-order, if possible. If you are prescribed a high-cost specialty medication, one of our Member Advocates can work with you to search for financial assistance.

Contact them at 866-335-9057.
Why do I need a prior authorization for medications I have been taking?

The prescription drug plan may require a prior authorization on certain medications to:
1) prevent use of medications that may jeopardize safety,
2) support the use of cost-effective treatments, and
3) avoid use of medications that may not be medically appropriate or necessary.

A periodic prior authorization may be required to assess the continued need for treatment given progression of disease states, advent of new evolving therapies and updated clinical guidelines to treat such conditions. Prior authorization renewals are started 30 days prior to the end date of the current authorization.

For more information about the prior authorization process, please contact one of our Member Advocates at 866-335-9057.